Kurosch Hatami, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42155 Issued in CA

Practice address

359 N San Mateo Dr
Suite #1
San Mateo, CA 94401-2560

Phone

(650) 344-1724

Fax

(650) 344-1521

NPI assigned

Feb 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245370287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 N SAN MATEO DR",
            "address_2": "SUITE #1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012560",
            "telephone_number": "650-344-1724",
            "fax_number": "650-344-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 N SAN MATEO DR",
            "address_2": "SUITE #1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012560",
            "telephone_number": "650-344-1724",
            "fax_number": "650-344-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATAMI",
        "first_name": "KUROSCH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Haskin
• Miranda Haskins, D.O.
• Grace Hassid, MD
• Steven Hassid, MD
• Molly Elizabeth Hassler
• Giana Therese Hatem, AU.D.
• Kristin Hatten, DPT
• Cathy Hauer, MS, MFT
• Catherine Haueter, MA, LMFT
• Teesha Alice Haven

• General Practice Dentistry in San Mateo, CA
• Providers in San Mateo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.